Individual
MICHELLE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 N JEFFERSON ST, LANCASTER, TX 75146-1702
(214) 850-5736
(214) 923-8630
Mailing address
720 N JEFFERSON ST, LANCASTER, TX 75146-1702
(214) 850-5736
(214) 923-8630
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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